[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-2-medical-surgical-023":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-114-2-內外科護理學-023","nurse-114-2-medical-surgical-023",114,2,23,"王小華熱愛打籃球，最近剛被確診為血友病，下列護理指導何者不適當？",{"A":14,"B":15,"C":16,"D":17},"不可自行服用阿斯匹靈（aspirin）止痛劑","避免激烈及發生碰撞的活動","頻繁地抽血監測凝血相關指數","避免不必要的注射或手術","C",null,[],"本題考點在於血友病病人的活動與安全護理指導。本題為反向題,不適當者為 C:血友病為凝血因子缺乏導致出血傾向,頻繁抽血本身即為侵入性穿刺,會增加出血與血腫風險,不應頻繁抽血監測,故 C 為答案。A 正確,阿斯匹靈(aspirin)會抑制血小板功能,加重出血,應避免自行服用。B 正確,避免激烈與碰撞性活動以防關節或深部出血。D 正確,避免不必要的注射或手術等侵入性操作以減少出血機會。","血友病是 X 染色體隱性遺傳,A 型缺凝血因子 VIII、B 型缺 IX,好發關節腔出血(hemarthrosis)。護理主軸=「防出血」:避碰撞、避侵入操作、忌抗血小板\u002F抗凝藥。止痛選 acetaminophen(不影響凝血),忌 aspirin 與 NSAIDs。急性出血採 RICE 加凝血因子補充。抽血、肌肉注射均屬會誘發血腫的操作,能免則免。",[24,26,29,31],{"term":25,"count":10},"阿斯匹靈禁忌",{"term":27,"count":28},"血友病",1,{"term":30,"count":28},"凝血因子缺乏",{"term":32,"count":28},"侵入性操作出血風險",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-114-2-medical-surgical-024","下列何者不是放射線治療病人皮膚出現的急性反應？",24,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-115-1-medical-surgical-020","下列何者為右心衰竭的臨床表徵？",20,115,{"webId":44,"stem":45,"number":46,"year":47,"session":28},"nurse-106-1-medical-surgical-014","有關急性膽囊炎相關的臨床評估，下列何者正確？",14,106,{"webId":49,"stem":50,"number":51,"year":52,"session":28},"nurse-107-1-medical-surgical-052","有關胃食道逆流的敘述，下列何者錯誤？",52,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-2-medical-surgical-016","有關脊髓攝影術檢查前後之護理措施，下列何者錯誤？",16,108,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-109-2-medical-surgical-050","有關全身性紅斑性狼瘡之致病機轉，下列何者正確？",50,109,"2026-09-04",1788510759667]